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A child receives polio vaccine at Dire health center Bishoftu, Oromia Region Tuesday, 6 August 2019. ©UNICEF Ethiopia/2019/Mulugeta Ayene
I stepped on the train, on my way from San Francisco back to the East Bay. The car was nearly empty, with plenty of room for him to sit -he could have sat anywhere on the car, and would not have been near anyone- but he stood, right hand holding the railing, left hand wrapped around a cane which seemed to hold less of his weight than it should have. His cream colored camel hair coat matched the color of his brimmed hat. His black shoes were shiny, polished to an otherworldly sheen, and his grey slacks held the sharpest lines that I had ever seen in clothing. I watched him all the way past West Oakland, staring out the window at what could have only been the cityscapes and rooftops of suburbs passing by. At one point, he turned and looked directly at me, and I pretended to be asleep. I half opened my eyes to see if he was still looking at me, to see that he had turned his body to face me, and was staring intently at me. I heard the voice of my own thoughts "So you want to know who I am? I stay hidden, and I protect you people." I didn't know where that thought had come from, and I searched his eyes, I saw the images in my head, of this short latin man walking through darkness, cane held near the middle , like a baton, or a tool of sorts. In what must have been some kind of quasi-hallucination, I saw him draw a stainless steel .45 Colt Commander out of his jacket, cock it, and continue on, in a a strange pillar of light. There was a horrible tapping, banging, whirring, scraping. Out of the darkness the first of them came. The giant immunization robots. He fought them, and defeated them all, then walked back into the darkness. When I shook the inner movie screen loose, I looked back up at him. He nodded slowly, holding my gaze for another long moment before turning back to the windows, to gaze out over the rooftops. Two stops later, I got off and walked home. Until now, I never told anyone of this. That day, I just started drawing what I saw, and I keep working on it, bit by bit, whenever I have those nightmares.
Somehow, working on this drawing helps to calm me down, and feels me with a feeling of safety. I imagine that the man in the camel hair coat is keeping us safe and ignorant of horrors that we would not believe existed.
I don't know what I will do, or what will happen when this drawing is complete.
Carrying her vaccine cold box, Misawey Abate, needs to cross the cliffs before she gets to the village of Aba Yohannes where hundreds of women and children are waiting for a much-needed immunization campaign. This is not an easy job, but she has no alternative. For months health services were disrupted in Aba Yonannes because of conflict. In early May, UNICEF supported a vaccination campaign in IDP sites and villages affected by conflict in the Waghimra zone of the Amhara region. Along with the campaign, children and pregnant women were also screened for their nutrition status. ©UNICEF Ethiopia/2022/Mulugeta Ayene
Walk-in refrigerator for storing vaccines. Vaccines must be preserved at constant low temperatures to maintain their potency from manufacture through distribution. The image is a part of the Critical Analysis Skills Programme (CASP) that UNICEF launched as pilot for students of Indian Institute of Mass Communication (IIMC) New Delhi, in public health journalism and communication ; where student were taken on an exposure visit to Jaipur from October 1-3, 2015. While visiting the State Vaccine Store in Jaipur students were explained about the cold chain management and its relevance and importance in Routine Immunization (RI) programmes. Students also witnessed the system of storage, management and supply of vaccines in entire Rajasthan and its contribution in saving lives of millions of children.
Childhood Immunizations are being given for the next three weeks at the Breath of Life Children's Clinic at 21715 Kingsland Boulevard. From left, Dawn Fanguy, LVN, gives an immunization to Corbin Brewer, 5, kindergarten student at Cimarron Elementary as Todd Poole, LVN, on the right, assists. Suzanne Rehak/For the Chronicle
All British Columbians are encouraged to get immunized and reduce the chance of getting the flu and passing it on to others.The influenza vaccine will be available throughout the province by early November at public health clinics, physicians’ offices, travel clinics and pharmacies.
Learn more: news.gov.bc.ca/releases/2016HLTH0075-002094
UNICEF supports a nationwide measles vaccination campaign to protect 15.5 million children from life-threatening diseases. The launch of regional vaccination campaign in Haik town, Amhara region, Ethiopia 27 December 2022. In addition, integrating in the campaign, a range of other lifesaving services. These include COVID-19 jabs and catch-up immunizations for under-vaccinated children, screening for acute malnutrition, vitamin A drops and deworming against intestinal parasites. ©UNICEF Ethiopia/2022/Mulugeta Ayene
Village Samho, Samho Block, Dist. Begusarai, Bihar, INDIA. Ritu Rani, Auxiliary Nurse Midwife (ANM), prepares for immunization as patients sit inside Anganwadi centre in Begusarai, Bihar. Social Mobilisation Network (SMNet), a UNICEF-supported initiative which mobilizes the community at every level village, block, district, region, state to get their children immunized from basic diseases as part of the governments routine immunization programmes. SMNet was started essentially in the 2000s as part of the government's anti-Polio campaigns. SMNet officers thus operate at every level, starting from the village level (where there's a Community Mobilisation Coordinator, typically belonging to the village), to the block, district, sub-region, and region, where there are corresponding mobilizing coordinators for every block, district, sub-region etc. SMNet is premised on the idea that people from within the community are the best ones to mobilize others in their people be it their village, their block or district. But this is where officers such as Bijay Ranjan prove that familiarity is merely an added advantage to the mobilizing process: the real trick lies in effective communication. It is this that made SMNet successful to the extent that SMNET Bihar officers have gone on mobilization drives to other states such as Rajasthan, Madhya Pradesh etc. Although SMNet started as a tool to fight Polio campaign, over the years it has transcended its original definition, and become a pool of human resource that can be realigned to any other social/developmental goal. In fact, as of 2015, exactly a year after the WHO declared India as Polio Free, the SMNet is busy tackling diarrhea, malnutrition, hygiene and breast-feeding, all of which are critical to keeping Polio at bay. Immunization in India continues to be an ongoing challenge.
UNICEF India/2015/Dhiraj Singh.
Four-month older Galane Shumai in the arms of her mother waiting to receive a vaccine at Chalaba Silassie health post Bishoftu, Oromia Region Tuesday, 6 August 2019. ©UNICEF Ethiopia/2019/Mulugeta Ayene
Nurses give babies vaccinations in a clinic in Marmalade, Haiti that has adopted the Clean Care standards.
Photo Credit: Karen Kasmauski/MCSP and Jhpiego
A clinic in Marmalade, Haiti has adopted the Clean Care standards. They have a team of people who take shifts cleaning the clinic.
Photo Credit: Karen Kasmauski/MCSP and Jhpiego
CAMBODIA, Preah Sihanouk, 16-08-2012: A 22 year-old mother, Sophy brings her 2.5 months old baby for his first time vaccination at Sangkat 1 Health Center. The baby is very healthy and now his weight turns 4.8kg. Sophy said vaccination is very essential to her baby’s health and commit to have her baby vaccinated completely.
UNICEF Cambodia/2012/S. Lim
Photo Credit: Allan Gichigi/MCSP
Dr Paul Odili of USAID/MCSP with Joseph Nakopir, Sub-County Health services coordinator, stands next to a bilboard that was supported by USAID/MCSP program
Chandler Regional and Mercy Gilbert Medical Centers’ Community Outreach Immunization Program, in collaboration with Arizona's Vaccine for Children Program, sponsors free immunization clinics for children, as well as low-cost immunizations for adults.
All immunizations for children are free, regardless of insurance status. This includes children under age 19 who are covered by private insurance, AHCCCS, those who do not have insurance or those whose insurance does not cover immunizations, or are American Indian or Native Alaskan. Please bring your child's immunization record and any letters from their school so staff can determine which immunizations need to be given.
Tuesday, Oct. 2, 3-5 p.m., at Kyrene de las Lomas Elementary School, 11820 South Warner-Elliot Loop, Phoenix, AZ 85044
Thursday, Oct. 4, 9-11 a.m., at WIC Chandler Office (child immunizations only), 3002 North Arizona Avenue, Chandler, AZ 85225
Thursday, Oct. 4, 11, 18, 25, 3-5 p.m., at Chandler Care Center, 777 East Galveston Road, Chandler, AZ 85225
Saturday, Oct. 6, 9-11 a.m., at Chandler Regional Medical Center, Morrison Building, 1875 West Frye Road, Chandler, AZ 85224
Tuesday, Oct. 9, 3:30-5:30 p.m., at Mesa Fire Station 217, Community Room, 10434 East Baseline Road, Mesa, AZ 85212
Wednesday, Oct. 10, 9-11 a.m., at Our Lady of Guadalupe Church (flu shots only), 20615 East Ocotillo Road, Queen Creek, AZ 85142
Tuesday, Oct. 16, 3-5 p.m., at Chandler Fashion Center, 2nd floor Community Room, 3111 West Chandler Blvd., Chandler, AZ 85226
Wednesday, Oct. 17, 2-4:30 p.m., at Gateway Pointe Elementary School, 2069 East De La Torre Drive, Gilbert, AZ 85295
Tuesday, Oct. 23, 3-5 p.m., at Kyrene Family Resource Center at Kyrene de los Ninos, Elementary School 1330 East Dava Drive, Tempe, AZ 85283
Wednesday, Oct. 24, 3:30-5:30 p.m., at Chaparral Elementary School, 3380 East Frye Road, Gilbert, AZ 85295
For a complete list of pediatric, adolescent and adult immunizations offered and to learn more, please visit ChandlerRegional.org or MercyGilbert.org.
The Province is launching a measles immunization catch-up program to help BC families ensure their children are protected from measles.
The program will run from April through June 2019.
Learn more:
news.gov.bc.ca/releases/2019HLTH0046-000442
Update on the measles immunization catch-up program:
U.S. Air Force Staff Sgt. Dena Levari, 27th Special Operations Medical Operations Squadron NCOIC of immunizations, prepares to vaccinate 2nd Lt. Jose Valadez, 27th Special Operations Aircraft Maintenance Squadron, with Gardasil in the clinic at Cannon Air Force Base, N.M., May 29, 2012. The Gardasil vaccine protects against four types of the Human Papillomavirus and has recently been cleared for use on males. (U.S. Air Force photo by Airman 1st Class Alexxis Pons Abascal)
UNICEF supports a nationwide measles vaccination campaign to protect 15.5 million children from life-threatening diseases. The launch of regional vaccination campaign in Haik town, Amhara region, Ethiopia 27 December 2022. In addition, integrating in the campaign, a range of other lifesaving services. These include COVID-19 jabs and catch-up immunizations for under-vaccinated children, screening for acute malnutrition, vitamin A drops and deworming against intestinal parasites. ©UNICEF Ethiopia/2022/Mulugeta Ayene
Photo Credit: Kate Holt for Jhpiego/MCSP.
Sat. Jan. 9th, 2016.
Rose Laropellah (41 ), a nurse, poses for a photograph in the Trinity Health Centre in Monrovia, Liberia. The Trinity Health Centre is privately owned, so the staff is very poorly paid. During the recent Ebola outbreak in Liberia, three staff members died due to lack of adequate infection prevention control training.
A health worker giving a measles vaccine to a child in Amhara Region south Wollo zone at Hike IDP center. The launch of regional vaccination campaign in Amhara Region of Ethiopia 27 December 2022. In addition, integrating in the campaign, a range of other lifesaving services. These include COVID-19 jabs and catch-up immunizations for under-vaccinated children, screening for acute malnutrition, vitamin A drops and deworming against intestinal parasites. ©UNICEF Ethiopia/2022/Mulugeta Ayene
www.msn.com/en-us/health/medical/fda-just-authorized-fall...
FDA just authorized fall COVID boosters -- here’s what to know
The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) will weigh in on newly authorized fall COVID boosters this week, in a manner unprecedented during the pandemic -- without data from human clinical trials.
While most experts agree that there are no safety concerns, and many support the FDA's attempt to keep up with viral variants, others have pointed out gray areas and open questions when it comes to omicron-targeting bivalent vaccines.
That includes whether boosters with components targeting omicron would offer a significant advantage in terms of efficacy -- particularly, protection against infection -- over boosting against the ancestral strain of the virus alone.
Regulatory recap
To recap, the regulatory process for fall boosters started earlier this summer.
On June 28, the Food and Drug Administration's Vaccines and Related Biological Products Advisory Committee (VRBPAC) voted 19-2 to recommend the use of an omicron-specific component in future boosters. Their review was based on human clinical trial data from a bivalent booster containing the ancestral strain and the BA.1 variant, showing sufficient levels of neutralizing antibodies after the fourth dose.
But most committee members voiced support for a bivalent vaccine that included the ancestral strain plus the BA.4/5 variants, even though data from a human clinical trial wouldn't be available before fall.
That would make the authorization process for this and possibly future COVID boosters similar to that for annual influenza vaccines, which relies on immunogenicity data from mouse studies.
Indeed, Pfizer has presented data from a mouse study, showing that BA.4/5 monovalent and bivalent boosters sufficiently raised neutralizing antibody levels against all omicron variants.
Pfizer and Moderna are both starting human clinical trials of BA.4/5 boosters this month -- a 30-mcg dose for Pfizer and a 50-mcg dose for Moderna -- but those won't be concluded before shots likely start going into arms in the coming weeks.
The unknowns
While proponents tout the positives of moving quickly, others have raised several concerns, including not knowing whether a BA.4/5 boost will offer better protection against infection than another boost with the ancestral strain alone.
Dr. Paul Offit of Children's Hospital Philadelphia, who participated in the June 28 VRBPAC meeting, told MedPage Today that the human data on BA.1 boosters were "underwhelming."
Depending on the company, he said, there was a 1.5-fold to 1.75-fold increase in neutralizing antibody titers in the group that got the bivalent vaccines, and that's "not likely to be a clinically significant difference."
That could be related to "imprinting," Offit said, which is also referred to as "original antigenic sin." The concept is that the immune system response is bolstered against the strain that a person was initially exposed to.
"You largely are hooked into that ancestral strain, so it's hard to boost in a big way with BA.4/5 vaccines," Offit said. "If I gave a monovalent BA.4/5 vaccine to a 10-year-old with no previous vaccination or natural infection, you'd see a dramatic increase in neutralizing antibodies."
Dr. John Moore, professor of microbiology and immunology at Columbia University in New York City, noted that the Pfizer mouse study data actually suggested better results with a monovalent BA.4/5 booster. Thus, it's not clear why a monovalent booster isn't moving forward at this time, he said.
Moore added that recent modeling data -- albeit, a preprint, and not clinical data -- suggest there wouldn't be much of a difference in outcomes if people received a booster of the ancestral strain alone versus the Omicron-targeted booster.
"A great deal of time, effort, and money have now gone into making new boosters that will be little better than what we already had available in large quantities," Moore told MedPage Today in an email.
He added it would be a "mistake if the public was persuaded that the new boosters are a super strong shield against infection, and hence increased their risk and exposed themselves to more virus."
Several experts also expressed concerns that if the public perceived that the bivalent boosters were problematic because they only have animal data behind them, hesitancy could increase. That's troubling given that only about 30% of the U.S. population has taken a booster dose, they said.
Still others think FDA is on the right track. Dr. Robert "Chip" Schooley, an infectious diseases expert at the University of California San Diego, told MedPage Today in an email, "I think the call was the right one."
"Coronavirus-induced immunity (whether vaccine- or infection-driven) wanes quickly and we have a large number of unboosted and under-boosted people in the population and are poised for a recrudescence of infection as people go indoors for the winter," Schooley said. "Thus, there is not time for a comparative trial with clinical efficacy endpoints before the need to roll vaccination out in anticipation of the winter surge."
He said he would have liked to see a clinical trial "embedded in the fall rollout in which people were randomized to a 'legacy' vaccine or a new one with a subset of patients being studied for immunogenicity versus a range of variants and clinical outcomes in the full cohort" -- but that he wouldn't advocate "continuing with the legacy vaccine for the next six months, which is what would be required to do a properly controlled clinical trial."
He concluded that COVID vaccines are "likely headed toward where flu vaccines have gone."
That certainly seems to be a foregone conclusion, as Biden administration officials have already touted the value of omicron-targeted bivalent boosters. White House COVID-19 Response Coordinator Dr. Ashish Jha called it the "first major upgrade of the vaccines...in the last two and a half years."
CDC Director Dr. Rochelle Walensky told the podcast "Conversations on Health Care" that bivalent boosters "shouldn't impact safety at all."
If the country waits for human data, she said, "we would be using what I would consider to be a potentially outdated vaccine...It's best to use a vaccine that's tailored to the variant we have right now."
Yasmeen Parveen, 25, holds her two months old child Afreen Praveen at her parents home in Sherghtai in Gaya district, Bihar. The mother Yasmin Parveen herself is ailing, and Gulshan Ara, the Aanganwadi worker in this block of Sherghtai in Gaya district, doesn't mince her words. "Are you breasfeeding the child?" she says, and then moves quickly to study the chart that tracks the development of the little child. "Don't feed the child water. Milk is enough. It has everything the child needs." Parveen is 25, and her eyes are dazed. Gulshan Ara says she will need to come with her to the hospital for a checkup. This isn't part of the responsibilities of an Aaganwadi worker, who is a health worker chosen from the community to provide outreach services. Anganwadi or courtyard shelter is a government sponsored child-care and mother-care center that was launched in 1975 as part of its Integrated Child Development Services program to combat child hunger and malnutrition. It caters to children in the 0-6 age group.
UNICEF/2015/Manpreet Romana.
Photo Credit: Kate Holt for Jhpiego/MCSP.
Friday Jan. 8th, ,2016.
A woman in a government hospital in Buchanan, Liberia. Jhpiego has been supporting health care facilities throughout Liberia in the wake of Ebola by putting into effect Infection Prevention Control.
A clinic in Marmalade, Haiti has adopted the Clean Care standards. They have a team of people who take shifts cleaning the clinic.
Photo Credit: Karen Kasmauski/MCSP and Jhpiego
At a maternal and child clinic at La Fossette, one of the largest in Cap-Haitian, patients arrive for regular check-ups as well as vaccinations. Four health workers work at the site, either vaccinating or weighing children. The clinic is held in a building in the process of being built.
Photo Credit: Karen Kasmauski/MCSP and Jhpiego
Ashma Khatun has brought her six-week-old son, Arfan Hussain, to Assam Medical College in Dibrugarh for his routine immunization of pentavalent and polio vaccination.
UNICEF supports a nationwide measles vaccination campaign to protect 15.5 million children from life-threatening diseases. The launch of regional vaccination campaign in Haik town, Amhara region, Ethiopia 27 December 2022. In addition, integrating in the campaign, a range of other lifesaving services. These include COVID-19 jabs and catch-up immunizations for under-vaccinated children, screening for acute malnutrition, vitamin A drops and deworming against intestinal parasites. ©UNICEF Ethiopia/2022/Mulugeta Ayene
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RED SEA (Jan 15, 2020) - Senior Chief Personnel Specialist Ron Ching, assigned to the amphibious assault ship USS Bataan (LHD 5), receives an Anthrax immunization shot. Bataan is the flagship for the Bataan Amphibious Ready Group and, with embarked 26th Marine Expeditionary Unit, is deployed to the U.S. 5th Fleet area of operations in support of maritime security operations to reassure allies and partners and preserve the freedom of navigation and the free flow of commerce in the region. (U.S. Navy photo by Mass Communication Specialist 3rd Class Levi Decker)
Dr. Ciro de Quadros, PAHO Public Health Hero of the Americas, Washington, DC, April 25, 2014, with Dr. Carissa F. Etienne, Dr. D.A. Henderson, Anthony Fauci, and Jon Andrus
Dr. Ciro de Quadros, Héroe de la Salud Pública de las Américas, OPS/OMS, con Dr. Carissa F. Etienne, Dr. D.A. Henderson, Anthony Fauci, and Jon Andrus.
25 de abril de 2014
Photos by Sonia Mey-Schmidt, PAHO/WHO
As the Ebola outbreak worsens in Liberia; many children have missed routine immunizations. Star of the Sea, a Catholic clinic in Monrovia, Liberia is one of the few clinics that remains open and provides immunizations and other routine health services. Photo by Michael Stulman/CRS
Catholic Relief Services has committed more than .5 million in private funds to continue its emergency response to the Ebola outbreak in West Africa. The number of deaths and people infected with the virus continues to increase rapidly. CRS and its Caritas partner have been working to train more than 400 volunteers on key messages about Ebola as well as psychosocial counseling for those who've lost loved ones to the disease. Education is the only way to stop the spread of the disease, so CRS has been working on public awareness campaigns aimed at teaching the population about Ebola, including its spread and prevention.
UNICEF supports a nationwide measles vaccination campaign to protect 15.5 million children from life-threatening diseases. The launch of regional vaccination campaign in Haik town, Amhara region, Ethiopia 27 December 2022. In addition, integrating in the campaign, a range of other lifesaving services. These include COVID-19 jabs and catch-up immunizations for under-vaccinated children, screening for acute malnutrition, vitamin A drops and deworming against intestinal parasites. ©UNICEF Ethiopia/2022/Mulugeta Ayene
Dr. Ciro de Quadros, PAHO Public Health Hero of the Americas, Washington, DC, April 25, 2014
Dr. Ciro de Quadros, Héroe de la Salud Pública de las Américas, OPS/OMS, 25 de abril de 2014
Photos by Sonia Mey-Schmidt, PAHO/WHO
A health worker giving a measles vaccine to a child in Amhara Region south Wollo zone at Hike IDP center. The launch of regional vaccination campaign in Amhara Region of Ethiopia 27 December 2022. In addition, integrating in the campaign, a range of other lifesaving services. These include COVID-19 jabs and catch-up immunizations for under-vaccinated children, screening for acute malnutrition, vitamin A drops and deworming against intestinal parasites. ©UNICEF Ethiopia/2022/Mulugeta Ayene
Participants from UN Foundation visiting Somali Regional Health Bureau’s cold room (for vaccine storage), Jigjiga, Somali Regional State ©UNICEF Ethiopia/2019/Nahom Tesfaye
A child receives polio vaccine at Dire health center Bishoftu, Oromia Region Tuesday, 6 August 2019. ©UNICEF Ethiopia/2019/Mulugeta Ayene
Vaccinators of a transit team at the Bus Stand search for all public buses to search for children under 5 years to vaccinate them for polio. They search for children who were left out during the booth day vaccination..
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JACKSONVILLE, Fla. (April 15, 2021) – Amy Doughty, a licensed practical nurse at Naval Hospital Jacksonville’s Immunizations Clinic, administers a hepatitis vaccine. Doughty, a native of Orlando, Florida, says, “Immunizations are key to keeping our servicemen and women and their families safe from unnecessary illnesses.” Immunizations Week is April 24-30. Vaccines play a vital role in protecting people of all ages against diseases and death. (U.S. Navy photo by Yan Kennon, Naval Hospital Jacksonville/Released)
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SAN DIEGO (Jan. 29, 2021) Carnell Butler, a U.S. Navy retiree, receives a coronavirus (COVID-19) immunization card after receiving the COVID-19 vaccine on board Naval Base Point Loma Harbor Annex's Admiral Kidd Catering and Conference Center Jan. 29. The vaccine is in distribution phase 1b to include all dependents and beneficiaries 75 years and older. Phase 1b includes the following:
Active duty and front line essential workers that includes the education sector (teachers and support staff), Child & Youth Services staff, personnel working at depots and shipyards, DoD corrections staff, DoD post service staff, DoD public transit workers, and Commissary and other installation food service or agricultural workers. U.S. Third Fleet will coordinate with active duty and front line essential workers commands to schedule vaccinations. NMCSD’s Phase 1b also includes all DoD beneficiaries 75 years or older by appointment contingent on vaccine supply. (U.S. Navy photo by Mass Communication Specialist Seaman Luke Cunningham)
www.dvidshub.net/news/387985/vaccines-administered-board-...
At a maternal and child clinic at La Fossette, one of the largest in Cap-Haitian, patients arrive for regular check-ups as well as vaccinations. Four health workers work at the site, either vaccinating or weighing children. The clinic is held in a building in the process of being built.
Photo Credit: Karen Kasmauski/MCSP and Jhpiego